© 1999 by Oxford University Press
Journal of the National Cancer Institute, Vol. 91, No. 9, 753-755,
May 5, 1999
© 1999 Oxford University Press
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Can Guidelines Be Integrated Into Everyday Practice? The NCCN in Year 4
"Yesterday I sent a patient with biliary tract cancer to radiation oncology and asked, `Would this patient benefit from radiation therapy?' And the therapist came back and said, `What do the guidelines say?' "
This is a scenario to warm the heart of any guidelines writer, but it may not be a very common one not yet anyhow. Clinical guidelines, whether in oncology or other areas of medicine, are notorious for their lack of impact on actual practice.
In this case, the speaker is William Burak, M.D., assistant professor of surgery at the Arther G. James Cancer Hospital, Ohio State University Medical Center in Columbus, and the guidelines are those of the National Comprehensive Cancer Network, a consortium of cancer centers that set out 4 years ago to create consensus-based clinical guidelines for oncology.
The NCCN has done that
Massive Undertaking
To Change Behavior
Administrative Supports